Case Presentation: An 81-year old male with a significant medical history of essential hypertension, type 2 diabetes mellitus and coronary artery disease, was admitted to the hospital complaining productive cough, shortness of breath and pleuritic chest pain from one week. Chest X-ray revealed left lower lobe consolidation with left parapneumonic effusion. The nasopharyngeal swab was [...]

Case Presentation: Disseminated histoplasmosis occurs in about one in two thousand patients affected with acute infection. In most immune competent hosts, histoplasmosis is a self-limited disease contained by our cellular immunity. Disseminated histoplasmosis is seen in heavily immunocompromised hosts and can present with multi-organ system involvement, leading to lethal consequences if left untreated.A 33-year-old Hispanic [...]

Case Presentation: 80 year-old-male with past medical history of hypertension, coronary artery disease, chronic systolic heart failure, diabetes mellitus type 2, chronic kidney disease stage 2 presented with acute onset of constant vertigo for 1 day. Patient had a history of intermittent moderate vertigo for 20 years, controlled on meclizine. However, at this presentation, patient’s [...]

Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: 63-year-old male with past medical history of diabetes mellitus complicated by neuropathy, hypertension and recurrent UTIs presented with 1 week history of nausea, decreased oral intake and malaise. He endorsed dysuria and left flank pain. Upon admission, he was afebrile and normotensive but slightly tachycardic. Initial labs revealed WBC 21.1, Creatinine 1.56, increased [...]

Case Presentation: We are presenting a case of a 71-year-old male patient with a history of hypertension, non-insulin dependent type 2 diabetes mellitus (DM) well controlled on metformin, and non-invasive high grade urothelial bladder cancer diagnosed in 2014 treated with transurethral resection of the prostate and intravesicular mitomycin. In 2016, his bladder cancer has progressed [...]

Case Presentation: A 58 year old female with past medical history of microcytic hypochromic anemia and thrombocytosis presented with progressive abdominal distention and pedal edema of 5 months duration. There was no significant history of asbestos exposure.Initial diagnostic paracentesis and peritoneal fluid cytology was negative for malignant cells but showed atypical cells, but tumor markers [...]

Case Presentation: A 52-year-old homeless man with a history of a remote stroke with residual left sided hemiparesis and dysarthria, and poorly controlled diabetes presented with fever, diarrhea, left sided body pain and altered mental status for two days.The initial vital: tachycardia and temperature of 101.2 F. On exam, he had poor dentition, dysarthria, left-sided [...]

Case Presentation: A 68-year-old male with a past medical history of well controlled diabetes mellitus and chronic lymphocytic leukemia-in remission, presented with a painful right scrotal swelling and redness of four days. The patient denied any previous trauma to the region, urinary symptoms, and recent sexually activity. Ultrasound of the scrotum demonstrated moderate-to-severe epididymo-orchitis. Levofloxacin [...]

Case Presentation: A 68-year-old Cambodian male with no known past medical history presented to the emergency department after experiencing three days of nausea and vomiting. The patient reported, prior to becoming ill, he went fishing for a couple of hours. Later in the day he consumed undercooked fish. Patient’s vital signs on admission were temperature [...]